The Golden Grapes of Wrath – Staphylococcus aureus Bacteremia: A Clinical Review
John C. Lam, William Stokes
Abstract
Staphylococcus aureus bacteremia is common and associated with fatality rates approximating 25%. We provide a brief overview of S. aureus bacteremia from a clinical and microbiological lens and review the relevant evidence and literature gaps in its management. Using a case-based approach, evidence and clinical judgement are meshed to highlight and justify the 5 core interventions that ought to be performed for all cases of S. aureus bacteremia: 1) appropriate anti-staphylococcal therapy, 2) screening echocardiography, 3) assessment for metastatic phenomena and source control, 4) decision on duration of antimicrobial therapy, and 5) Infectious Diseases consultation.
Topics & Concepts
MedicineBacteremiaStaphylococcus aureusIntensive care medicineClinical judgementAntimicrobialStaphylococcal infectionsInternal medicineMicrobiologyAntibioticsBacteriaGeneticsBiologyAntimicrobial Resistance in StaphylococcusInfective Endocarditis Diagnosis and ManagementStreptococcal Infections and Treatments